Super intensive exercise-based weight loss programs shed pounds and reduce the risk (and sometimes cure) diabetes and other cardiovascular risk factors like blood pressure and cholesterol. But is this intense of a program, as seen on ‘The Biggest Loser’, practical for the obese patient who presents to their Primary Care Doctor? This reality TV exercise-centric program with only minor dietary restrictions resulted in a mean weight loss of 36% of starting body weight at 29 weeks. The current belief of experts in this country is to recommend an attainable weight loss goal of only 5-10% for patients presenting to their Doctor for help. After analyzing the results of 35 contestants.